SSA-1713/businesses

Statement of Reclamation Action

OMB: 0960-0734

IC ID: 44357

Information Collection (IC) Details

View Information Collection (IC)

SSA-1713/businesses
 
No Modified
 
Voluntary
 
31 CFR 210

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-1713 Statement of Reclamation Action SSA-1713 Revised Version.pdf No   Printable Only
Form and Instruction SSA-1712 Cover Letter -Notice of Reclamation (Canada Payments Made in USD) SSA-1712 Revised Version.pdf No   Printable Only
Form and Instruction SSA-1712 CN Cover Letter - Notice of Reclamation (Canada Payment Made in Canada) SSA-1712CN Revised Version.pdf No   Printable Only
Other-Revised Privacy Act Statement Revised PA Statement SSA-1712-SSA-1713.pdf No   Paper Only

Income Security General Retirement and Disability

 

8 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 8 0 0 0 0 8
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Revised Privacy Act Statement for SSA-1713, 1712 Revised PA Statement SSA-1712-SSA-1713.pdf 04/07/2015
SSA-1713 Current Version SSA-1713 Current Version.pdf 04/07/2015
SSA-1712 Current Version SSA-1712 Current Version.pdf 04/07/2015
SSA-1712CN Current Version SSA-1712CN Current Version.pdf 04/07/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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